HEEELLLLLPPPP!!!! PLEASE! W/ DXs and interventions! :)

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HELLO everyone!

i was hoping that someone would be able to confirm that i am on the right track with my nursing dx's for a situation that my teacher assigned me and i need help with the RTs AND AEBs.. so all feedback would be greatly appreciated!:mad:

Mr. Jones, aged 68, experienced a stroke 1 week ago that left him with right-sided weakness, aphasia and incontinence. His wife is eager to have him discharged from the hospital so that she can care for him at home. You have heard her tell Mr. Jones, "You don't need to worry about a thing, honey. I will take complete care of you and do everything for you. All you have to do is stay in bed and take it easy."

so far all i have:

Impaired swallowing RT aphasia secondary to CVA

Impaired verbal communication RT aphasia secondary to CVA AEB inability to communicate

Impaired physical mobility RT right sided weakness secondary to CVA AEB poor balance and weakness

Self care deficit RT acute disease process secondary to CVA AEB right sided weakness aphasia and incontinence

Risk for aspiration RT right sided weakness secondary to CVA

Risk for impaired skin integrity RT incontinence and right sided weakness

Knowledge deficit of caregiver of current dx and prognosis AEB ???

Risk for imbalanced nutrition: less than body requirements

risk for injury RT right sided weakness

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Specializes in VA-BC, CRNI.

What stuck out to me in this scenario is how is he going to be cared for? If he is 68 I assume his wife is not a 22 year old with the body of an olympian.

This scenario screams of risk of caregiver role strain and knowledge deficit.

Besides the usual CVA stuff think about the situation. You are not only his Nurse but your also the families. Does her statement make sense? Do you think she will be able to adequately take care of him? Hell I am a 26 year old male in good physical condition I don't think I could take care of someone like that alone. Besides do you want your pt to stay in bed and do nothing?

"Knowledge deficit of caregiver of current dx and prognosis AEB her ridiculous statement."

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of course i dont want my client to stay in bed but i wasnt sure how to word my as evidence by

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Specializes in VA-BC, CRNI.

Your evidence is her statement. Put the ridiculous in the AEB for flavor.

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And that FLAVOR is gonna get me a BIG fat "F"!!!!!! LOL!!!! What do you think about my other DXs

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